Delphi round 1 endorsement (%) of clinicians and patients on individual care items for inclusion in the chronic obstructive pulmonary disease (COPD) discharge bundle
| Individual COPD care bundle items | Clinicians | Patients |
| n (%) | n (%) | |
| 1. Ensure adequate inhaler technique is demonstrated | 71 (98.5) | 33 (91) |
| 2. Assess patient comprehension of discharge instructions | 73 (97.2) | 34 (97) |
| 3. Assess need for oxygen therapy (short-term or long-term domiciliary oxygen) | 73 (97.2) | 33 (84.8) |
| 4. Reconcile full range of respiratory medications | 72 (95.9) | 34 (88.2) |
| 5. Arrange follow-up appointment with family physician. If patient does not have one, have him/her connected with one before discharge | 73 (94.5) | 3 (84.4) |
| 6. Prescribe maintenance respiratory medications | 72 (94.5) | 33 (100) |
| 7. Review full range of respiratory medications | 72 (94.5) | 34 (88.1) |
| 8. Assess smoking status and provide counselling, as needed | 72 (94.5) | 34 (73.6) |
| 9. Send discharge summary to family physician | 71 (94.3) | 34 (88.2) |
| 10. Refer to smoking cessation programme, as needed | 72 (91.7) | 32 (78.1) |
| 11. Assess need for home care | 72 (91.7) | 32 (65.6) |
| 12. Refer to pulmonary rehabilitation, as needed | 73 (90.5) | 34 (79.4) |
| 13. Provide recommendations about influenza vaccination | 72 (90.3) | 32 (75) |
| 14. Provide recommendations about pneumococcal vaccination | 72 (90.2) | 32 (81.2) |
| 15. Provide a written discharge action plan (a subacute plan of monitoring/management to prevent COPD relapse) | 72 (86.1) | 32 (81.3) |
| 16. Administer pneumococcal vaccine, as needed | 72 (84.8) | 33 (81.9) |
| 17. Administer influenza vaccine, as needed. | 72 (83.3) | 33 (75.8) |
| 18. Provide a written COPD action plan (a chronic care plan of monitoring/management to prevent COPD relapse) | 73 (78.1) | 32 (78.1) |
| 19. Provide written education about COPD + written action plan + ongoing case management | 70 (75.7) | 34 (82.4) |
| 20. Assess need for occupational therapy referral | 70 (75.7) | 32 (78.2) |
| 21. Arrange follow-up appointment with a respiratory nurse or certified respiratory educator | 72 (75.1) | 33 (69.7) |
| 22. Assess need for social work referral | 72 (72.2) | 32 (56.3) |
| 23. Provide written education about COPD + a written action plan | 73 (71.2) | 34 (70.5) |
| 24. Assess need for nutrition services referral | 73 (71.2) | 32 (71.9) |
| 25. Follow-up phone calls after discharge | 73 (67.1) | 33 (66.6) |
| 26. Arrange follow-up appointment with a specialist | 72 (66.7) | 33 (84.9) |
| 27. Arrange for lung function testing after discharge | 72 (66.7) | 33 (69.7 |
| 28. Provide written education about COPD management | 72 (66.7) | 34 (73.6) |
| 29. Perform spirometry at discharge | 72 (54.2) | 32 (62.5) |
Endorsement≥80% indicated in bold.
N, the total number of respondents per individual item.